Individual
ALFRED HENRY LIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2 WAKE ROBIN RD, LINCOLN, RI 02865-4241
(401) 334-3105
Mailing address
2 WAKE ROBIN RD, LINCOLN, RI 02865-4241
(401) 334-3105
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00023
RI
Other
Enumeration date
12/28/2005
Last updated
10/09/2007
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